Articlehybrid2020

Social Anxiety and Depression Stigma Among Adolescents

63 citations0/0 files storedJournal of Affective Disorders

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Mental Health Treatment and Access Child and Adolescent Psychosocial and Emotional Development Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

BACKGROUND: The stigma associated with mental disorders in adolescence has a range of detrimental consequences, negatively impacting help-seeking behaviours and quality of life. Social anxiety typically has its onset during adolescence, but the associated stigma is not well understood. This study was designed to improve understanding of social anxiety and depression stigma in adolescence by examining demographic and personal variables that predict them both. METHODS: Three hundred and fifteen adolescents (150 males, 165 females), from 2nd and 4th year of secondary school (mean ages 13.92 and 15.92 years respectively), completed the Peer Mental Health Stigmatization Scale to measure both personal and perceived stigma towards vignettes depicting social anxiety and depression. They also answered demographic questions and completed the Social Anxiety Scale for Adolescents. RESULTS: Hierarchical multiple regression revealed that gender predicted both personal and perceived stigma towards depression and personal stigma towards social anxiety. Males scored higher on measures of personal stigma whereas females had higher scores on perceived stigma. Ability to accurately identify symptoms described in a vignette, predicted lower personal stigma towards social anxiety and higher perceived stigma towards depression. Depression was more stigmatized than social anxiety. LIMITATIONS: The study used vignettes to represent individuals with depression and social anxiety so participant responses may not reflect their behaviour towards real peers. CONCLUSIONS: Findings emphasise the importance of separately considering personal and perceived stigma for each condition and highlight gender differences in stigma responses that need to be considered in intervention design.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2010Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A)2014International Statistical Classification of Diseases and Related Health Problems 2005Development and validation of the Basic Empathy Scale 2016Mental Health Literacy 2008Child and adolescent mental disorders: the magnitude of the problem across the globe 2010Measuring the impact of programs that challenge the public stigma of mental illness 2009Neural correlates of social exclusion during adolescence: understanding the distress of peer rejection

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